Provider Demographics
NPI:1962605485
Name:CARDIOHEALTH SLEEP CENTER OF AUBURN
Entity type:Organization
Organization Name:CARDIOHEALTH SLEEP CENTER OF AUBURN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF PLANNING AND DEVELOPMENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:M
Authorized Official - Last Name:VAN SANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-960-6100
Mailing Address - Street 1:13083 NORTH TELECOM PARKWAY
Mailing Address - Street 2:
Mailing Address - City:TEMPLE TERRACE
Mailing Address - State:FL
Mailing Address - Zip Code:33637-0926
Mailing Address - Country:US
Mailing Address - Phone:813-960-6100
Mailing Address - Fax:813-960-6144
Practice Address - Street 1:3700 SUNBELT PKWY
Practice Address - Street 2:SUITE 325
Practice Address - City:OPELIKA
Practice Address - State:AL
Practice Address - Zip Code:36801-1109
Practice Address - Country:US
Practice Address - Phone:334-737-4440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALTHSLEEP, INC. F/K/A CARDIOHEALTH SLEEP, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-06-11
Last Update Date:2008-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALZ4102261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic